Individual provider Active NPI

Rebecca Levy-Gantt, D.O.

  • Obstetrics & Gynecology Physician
  • Napa, CA
National Provider Identifier
1528165263
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A8707 Issued in CA
Practice address
3030 Beard Rd
Ste C
Napa, CA 94558-3490
Phone
(707) 681-1545
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A8707 CA Primary

Addresses

Primary practice location

3030 Beard Rd
Ste C
Napa, CA 94558-3490

Mailing address

3030 Beard Rd
Ste C
Napa, CA 94558-3490
Phone (707) 681-1545

Other identifiers 2

IdentifierTypeStateIssuer
P724771OtherNYOXFORD
68I56OtherNYBLUE CROSS

Other names 1

  • Rebecca Levy-Gantt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009001222 CA Practitioner - Obstetrics/Gynecology 3678673852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A8707CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OB GYN Napa, Inc Obstetrics & Gynecology CurrentSince Jul 15, 2014 Accepting new patients
Athanasios Antoniadis OB GYN PC Obstetrics & Gynecology Past Accepting new patients
Southwest Suffolk Medical PC Past Accepting new patients

Locations

3030 Beard Rd
Ste C
Napa, CA 94558
Phone (707) 681-1545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9087/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.levy-gantt.1@9087.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1528165263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BEARD RD",
            "address_2": "STE C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583490",
            "telephone_number": "707-681-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BEARD RD",
            "address_2": "STE C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583490",
            "telephone_number": "707-681-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY-GANTT",
        "first_name": "REBECCA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A8707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P724771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "68I56",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LEVY-GANTT",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.